LISA A EVERITT PA NPI 1013916568

NPI Information

NPI: 1013916568
Provider Name: LISA A EVERITT, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: VIRGINIA ONCOLOGY ASSOCIATES

PECOS Registration: Yes

Address:
5900 LAKE WRIGHT DR
NORFOLK, VA
ZIP 23502
Phone: (757) 466-8683
Get Directions

Lisa A Everitt, PA is a medical physician assistant in Norfolk, VA with 20 years of experience. Lisa A Everitt, PA NPI is 1013916568. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: EASTERN VIRGINIA MEDICAL SCHOOL
Graduation Year:2004

The provider's business location address is:

5900 LAKE WRIGHT DR
NORFOLK, VA
ZIP 23502-871
Phone: (757) 466-8683
Fax: (757) 466-0250

The NPI 1013916568 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/18/2005 and was last updated on 9/4/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		0110001877	VIRGINIA	No
2	363AM0700X	Physician Assistant	Medical	0110001877	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	MC10591	MEDICARE PIN	VIRGINIA
2	1013916568	MEDICAID	VIRGINIA
3	Q19174	MEDICARE UPIN	VIRGINIA
4	013623V63	MEDICARE PIN	VIRGINIA
5	10019822P	OTHER	VIRGINIA	OPTIMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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